Operational Intelligence for DHS Providers

The knowledge your care team already has. Finally put to work.

We help home care agencies and 245D waiver providers reduce billing errors, missed documentation, and compliance risk with custom AI tools built for your workflow.

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Trusted by DHS Providers

Purpose-built tools for your team's daily work.

app.karebase.ai
Documentation
Care Plans
Authorizations
Reports
Settings
Generate Progress Note 245D Compliant
Visit Details
Individual
Jordan M. — Adult Foster Care
Service Type
CSSI — Community Support
Visit Date
March 25, 2026 · 2:00 PM – 4:30 PM
Goals Addressed
Independent living, community integration
✦ Generate Note
Generated Progress Note
All
245D
Billing
EVV
📋
245D License Renewal Checklist — Hennepin County
Updated March 2026 · Required documentation, DHS submission portal steps, common denial reasons and how to resolve them.
245D Compliance Hennepin
💰
CSSI vs CADI Waiver — Billing Code Differences
Side-by-side breakdown of eligible service codes, unit definitions, and prior authorization requirements for each waiver type.
Billing CSSI CADI
📍
EVV Exception Handling — Common Scenarios
How to document missed clock-outs, agency exceptions, and retroactive EVV corrections without triggering a claim denial.
EVV Billing
Claims This Month
284
Flagged for Review
17
Clean — Ready to Submit
251
Estimated At-Risk Revenue
$8.4k
Flagged Claims — Action Required 17 items
Jordan M. · CSSI · Mar 18 EVV gap $312.00 Fix & resubmit →
Aaliya R. · PCA · Mar 20 Auth mismatch $540.00 Review →
Marcus T. · CDCS · Mar 21 Missing PA $718.50 Fix & resubmit →
Elena V. · SLS · Mar 22 Cleared $224.00 Submit →
Active Individuals
48
Across 3 waiver types
Auth Expiring in 30 Days
9
Renewal action needed
Missed Services (7 days)
4
Requires documentation
On-Track Individuals
38
No flags this week
Individuals Requiring Attention 13 flagged
Jordan M. Auth exp. Apr 3 CSSI — 18h left High Risk
Aaliya R. Auth exp. Apr 11 PCA — On track Med Risk
Marcus T. Missed 2 visits CDCS — Gap flagged High Risk
Elena V. No issues SLS — Current Low Risk

The DHS landscape has always demanded more from providers — but the tools to keep up have never matched the pace of compliance requirements.

2011

Home care agencies track authorizations on paper. Case managers call insurers for hours. A single 245D audit means weeks of manual file retrieval. Providers operate blind.

2018

Electronic Visit Verification arrives. Agencies buy EVV systems, billing software, and EHRs. But the data lives in silos. Coordinators still rebuild reports by hand. The burden shifts, not shrinks.

"Our mission is to give DHS providers the same operational advantage that large health systems have always had — at a cost that actually makes sense for your agency."

DHS providers have been held back by a compliance ceiling.

+40%
Increase in admin burden since 2020

Case notes, service logs, and care plans pile up faster than staff can complete them.

Coordinators spend hours each week writing documentation that could be structured automatically — pulling from visit records, care plans, and prior authorizations to generate compliant notes in a fraction of the time.

62%
Annual DSP turnover rate (national avg)

When experienced staff leave, so does every workaround, protocol, and compliance insight they carried.

The knowledge of how to handle unusual authorizations, coordinate with specific county offices, or manage complex individuals lives in people's heads — and walks out the door with them.

1 in 5
MA claims denied on first submission

Billing errors cost agencies thousands per month in delayed and denied Medical Assistance reimbursements.

Mismatched service codes, missing prior authorization links, and EVV gaps cause avoidable denials. Agencies that catch these before submission recover revenue that would otherwise take weeks of appeals to reclaim.

4–6
Disconnected systems the avg coordinator manages

EVV platforms, EHRs, billing software, and county portals don't talk to each other.

Coordinators stitch together information across platforms manually, creating gaps in oversight, delayed responses to delivery risk, and no single view of where each individual's services actually stand.

Built for the real complexity of waiver services.

To Document Faster

Documentation Agent

Pull service agreements, prior authorizations, care plan goals, and visit records into one system so compliant progress notes and service logs can be generated accurately in minutes, not hours.

To Share & Access Knowledge

Compliance Knowledge Base

Capture 245D requirements, county-specific procedures, waiver service definitions, and staff-tested workarounds in one searchable system — so critical knowledge stays with the agency, not just the people.

To Reduce Claim Denials

Billing Intelligence

Flag missing EVV entries, mismatched service codes, and authorization gaps before claims are submitted — so your billing team spends less time on appeals and more time on clean first-pass submissions.

To Prevent Service Failures

Coordinator Console

See authorization utilization, upcoming renewal deadlines, service delivery gaps, and individual risk flags in one live view — so issues surface early, before they become audit findings or missed services.

"

The knowledge to care well has always been there. We built the system to use it — so providers can spend less time on paperwork and more time on the people they serve.

Founder, Karebase

Built for the realities of DHS-licensed care.

01

Find the Opportunity

We start with your coordinators, billing staff, and front-line team. The goal is to find where hours get lost, where compliance gaps form, and where better software creates a clear operational advantage for your agency.

02

Map the Workflow

From referral to service delivery to billing, we map the full workflow behind the bottleneck — who does what, which systems are involved, where handoffs break down, and where the process fails under real operating conditions.

03

Prepare the Data

Useful systems depend on usable data. Inputs from EHRs, EVV platforms, billing software, county portals, and internal spreadsheets get pulled together, cleaned, and structured so they can actually support decisions and daily use.

04

Add the Intelligence

The intelligence layer turns raw data into something your team can act on. It can answer questions, flag compliance risks, surface billing issues before submission, and help coordinators make better decisions in less time.

05

Build the Software

The end product is custom software built around your workflows and DHS requirements. That could be a documentation assistant, a billing review tool, a compliance dashboard, or a searchable knowledge base — shaped around your specific operational need.

"Our coordinators were drowning in documentation. Since implementing the Documentation Agent, we've cut note-writing time by over half and our 245D audit prep went from three weeks to three days."

Sarah K. Director of Operations, Home Care Agency

"The Billing Intelligence tool caught $40,000 in would-be denials in the first month alone. It's like having an extra billing specialist who never misses an EVV gap."

Marcus T. CFO, 245D Waiver Provider

"Staff turnover was killing us. Now when someone new joins, the knowledge base has everything — waiver rules, county contacts, how we handle edge cases. It's like institutional memory that never leaves."

Denise R. Program Manager, DSP Services

Common questions from DHS providers.

No. AI makes a new class of custom software possible for DHS providers. Data from EVV systems, EHRs, billing platforms, care plans, and staff knowledge can now be used together in ways that used to require much larger budgets and IT teams. That makes it possible to build tools that support documentation, compliance, billing, and coordination at a cost your agency can justify.

Yes. We build around the systems you already use — whether that's Therap, HHAeXchange, Sandata, or a custom billing platform. We don't ask you to replace your existing tools; we connect them so your data works together.

HIPAA compliance is foundational to every system we build. All tools operate under a BAA, use encrypted data pipelines, and are designed to meet the security standards required for handling PHI in a DHS-licensed environment.

It depends on scope, but most agencies see their first working tool within 6–10 weeks. We start with the highest-impact problem in your operation and deliver something your team can use before expanding from there.

Not at all. Some of our most impactful work is with smaller agencies — 10 to 50 staff — where a single tool can meaningfully reduce the burden on an already stretched team. We scope every engagement to what actually makes sense for your size and budget.

Your team knows more than it's been allowed to show.

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